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Q: What are the risk factors for having a CP child?
A: The risk factors for having a CP child are : -

• Breech deliveries (babies delivered with feet coming out first).
  
  
• Birth defects such as spinal bone defects or abnormally small jaw bone
  
  
• Low birth weight and premature babies
  
  
• Twin deliveries
  
  
• Abnormally small head (microcephaly)
  
  
• Convulsions shortly after birth

Q : How do I know whether my child has CPa?
A: There is no definite test to detect CP. The diagnosis is made by reviewing the child's history and on examination. It may be difficult to diagnose due to changing symptoms over a period of time. In fact, some children with mild CP may be diagnosed at 3 to 4 years of the age. Certain blood tests and brain scans may be done to exclude other conditions.

Q : What is the treatment for CP?
CP is a lifelong condition and cannot be cured. However, treatment may improve the quality of life by increasing independent mobility. A child with CP requires a multi-team approach - from a pediatrician, an orthopedic and physical and speech therapists. The treatment not only depends on the patient's symptoms but also his age.

Patients with severe muscle contractures may require surgery to lengthen the muscle or some spinal surgery to reduce spasticity in the legs. Medication may also be given to decrease the muscle spasticity. Now, botulinum toxin injections are available which when used with physical therapy, help in lengthening a muscle. Baclofen pumps are also available to control spastically for a longer period of time.

Physical therapy, which consists of special exercises may increase the movement & strength of the muscles. Occupational therapy may be required to develop skills to carry out day to day activities at home.

A variety of mechanical aids like braces, speech synthesizer may be required. For children with speech problems, speech therapy is required. In addition, medications may be required to control the seizures. Some children with learning disabilities & mental retardation may require special learning programs.

Q: How can CP be prevented?
A: The pregnant mother should get regular antenatal care. Blood tests of mothers should be checked to detect Rh factor. Parents should seek treatment for a baby who is jaundiced at birth or has prolonged jaundice within a few days after birth.

Last created on 15-12-2000
Last updated on 01-07-2006